Mammography Positioning Improvement Collaborative

Improving Performance Together

American College of Radiology Mammography Positioning Improvement CollaborativeSuboptimal mammography positioning is the primary factor leading to technically inadequate mammograms. Poor mammogram quality contributes to undetected breast cancer. In a single-institution study only 67% of images met the positioning criteria set forth by the American College of Radiology. (Pal et al., AJR 2018).

Participants will be encouraged to learn and share ways to create a standardized system for mammography positioning, evaluation and ongoing monitoring, to deliver images that more consistently meet the ACR positioning criteria.

Leadership and Advisory Committee

Physician Leader


Advisory Committee 

Sarah Pittman, MDSarah Pittman, MD, Clinical Assistant Professor in the Department of Radiology, Stanford University School of Medicine
  • Stamatia Destounis MD, FACR, FSBI, FAIUM
  • Brett Parkinson, MD
  • Dana Smetherman, MD
  • Margaret Szabunio, MD, FACR, FAAWR
  • Patricia Cowart, RT
  • Louise Miller, RT

  • The Mammography Positioning Improvement Collaborative is one of four improvement collaboratives in the ACR® Learning Network.

    First Cohort Participants

    • ChristianaCare’s Helen F. Graham Cancer Center & Research Institute - Newark, DE
    • MemorialCare Breast Center at Long Beach Memorial - Long Beach, CA
    • Stanford Health Care - Palo Alto, CA
    • Solis Mammography - Addison, TX
    • Cleveland Clinic - Cleveland, OH
    • Doris Kupferle Breast Center at Texas Health Harris Methodist Hospital - Fort Worth, TX

    Improvement Collaborative Participation Requirements

    Minimum requirements for participants:

    • A strong interest in improving mammography positioning.
    • Supportive department leaders.
    • An improvement coach with QI experience.
    • A team of engaged front-line staff and leaders.
    • Ability to commit to a nine-month training program.

    Resources required:

    • A mammography positioning coach.
    • Tracking and monitoring data.

    Project team members (flexible):

    • Radiologist with a breast imaging clinical focus
    • Mammography supervisor or manager
    • Mammography coach (educator)
    • Mammography technologist

    To learn more about learning collaboratives, view the FAQ.

    Timeline for First Cohort

    Application deadline
    Dec. 20, 2021

    Invitation to participate
    Jan. 29, 2022

    Deadline to commit
    Feb. 21, 2022

    Pre-program training
    Mar. 14, 2022

    First program session
    April 25, 2022

    Nov. 14, 2022